Journal
INDIAN JOURNAL OF CLINICAL BIOCHEMISTRY
Volume 34, Issue 3, Pages 280-287Publisher
SPRINGER INDIA
DOI: 10.1007/s12291-018-0759-5
Keywords
Cardiometabolic; Opiate abuse; SODQ; Insulin resistance; Total antioxidant capacity; HsCRP
Categories
Funding
- All India Institute of Medical Sciences Jodhpur [AIIMS/RES9010/2014/0000038]
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Lack of cardiometabolic profile data based on severity of opiate dependence for opiate abusers. The study aimed to evaluate the effect severity of opiate abuse on the cardiometabolic profile of male opiate abusers without co-morbidities. The study included 30 healthy controls (HCs), 90 prospective chronic opiate (opium and heroin) abusers, with and without co-dependence of smoking and tobacco-chewing. The subjects were categorized based on severity of opiate dependence questionnaire (SODQ) and metabolic syndrome (MS) based on NCEP ATP-III criteria and fasting blood samples analyzed for sugar, insulin, insulin resistance (IR), lipid profile, Hs-CRP and total antioxidant capacity (TAC). There was higher prevalence of MS in opiate abusers as compared to HCs. Majority of the patients fell in grade 2 and 3 of severity. There was significant difference across groups for WHR (p<0.001), SBP (p<0.03), FBS (p<0.001), insulin (p<0.02), IR (p<0.03) and TAC (p<0.01). Multiple regression analysis of SODQ grades 2 and 3 independently predicted TAC by Hs-CRP (p=0.032 and 0.042). There was a significant correlation of TAC with serum insulin, IR and Hs-CRP in SODQ grade 2 and serum insulin and Hs-CRP in SODQ grade 3. Chronic opiate abuse is not benign and predisposes abusers to cardiometabolic risk with increasing severity of dependence, owing to oxidative stress and chronic low-grade inflammation.
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